经胸腹腔镜辅助小切口食管癌切除联合喉返神经旁淋巴结清扫术治疗食管鳞状细胞癌的疗效  

Evaluation of the Curative Effect of Thoracolaparoscopy Assisted Small Incision Resection of Esophageal Carcinoma Combined with Lymphadenectomy of Recurrent Laryngeal Nerve in the Treatment of Patients with Esophageal Squamous Cell Carcinoma

作　　者：王庆锋[1] 冯瑞庆 王海兵[1] WANG Qingfeng;FENG Ruiqing;WANG Haibing(Anyang People’s Hospital,Anyang,455000)

机构地区：[1]河南省安阳市人民医院,455000

出　　处：《实用癌症杂志》2022年第6期936-939,共4页The Practical Journal of Cancer

摘　　要：目的 分析胸腹腔镜辅助小切口食管癌切除联合喉返神经旁淋巴结清扫术(以下简称胸腹腔镜术)治疗食管鳞状细胞癌(ESCC)的效果。方法 选取72例ESCC患者,按随机数字表法分为2组,各36例。对照组接受小切口食管癌切除术(以下简称小切口术),观察组接受胸腹腔镜术治疗,比较2组治疗效果。结果 手术相关指标情况:观察组手术时长、喉返神经旁淋巴结清扫时间较对照组长,术中失血量较对照组少,喉返神经旁淋巴结清扫数、淋巴结总清扫数较对照组多(P<0.05)。术后恢复情况:观察组术后卧床时间、开始进食时间、住院时间均短于对照组,术后引流量少于对照组(P<0.05)。观察组总淋巴结阳性率、喉返神经旁淋巴结阳性率略高于对照组,但组间比较无明显差异(P>0.05)。并发症:观察组喉返神经损伤率较对照组低(P<0.05),2组吻合口瘘、肺不张、肺部感染发生率比较无明显差异(P>0.05)。生存率:术后3年,观察组生存率较对照组高(P<0.05)。结论 胸腹腔镜术治疗ESCC,效果显著,能有效减少术中出血量,促进患者术后恢复,降低喉返神经损伤风险,提高生存率,但会延长手术时间及喉返神经旁淋巴结清扫时间。Objective To analyze the effect of thoracolaparoscopy assisted small incision resection of esophageal carcinoma combined with lymphadenectomy of recurrent laryngeal nerve(hereinafter referred to as thoracic laparoscopic surgery) in the treatment of patients with esophageal squamous cell carcinoma(ESCC).Methods A total of 72 ESCC patients were selected and divided into 2 groups by random number table,36 cases in each group.The control group received small incision resection of esophageal carcinoma(hereinafter referred to as small incision),and the observation group received thoracolaparoscopic treatment.The treatment effects of the 2 groups were compared.Results Surgery-related indicators:in the observation group,the length of operation and the time of dissection of lymph nodes adjacent to the recurrent laryngeal nerve were longer than those in the control group.Intraoperative blood loss was less than that of the control group,and the number of lymph nodes adjacent to the recurrent laryngeal nerve and the total number of lymph nodes were more than those in the control group(P<0.05).Postoperative recovery:in the observation group,the postoperative time in bed,the time to start eating,and the hospital stay were shorter than those in the control group,and the postoperative drainage was less than the control group(P<0.05).The positive rate of lymph nodes:the positive rate of total lymph nodes and the positive rate of lymph nodes adjacent to the recurrent laryngeal nerve in the observation group were slightly higher than those in the control group,but there was no significant difference between the groups(P>0.05).Complications:the injury rate of the recurrent laryngeal nerve in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the incidence of anastomotic leakage,atelectasis,and lung infection between the 2 groups(P>0.05).Survival rate:3 years after operation,the survival rate of the observation group was higher than that of the control group(P<0.05).Conclusio

关 键 词：食管鳞状细胞癌 小切口食管癌切除 胸腹腔镜 喉返神经旁淋巴结 

分 类 号：R735.1[医药卫生—肿瘤]